Co-Infections Programme

Lead Research Organisation: MRC/UVRI Uganda Research Unit on AIDS

Abstract

The HIV epidemic in Uganda disproportionately affects urban dwellers, and overall, 60% of HIV infected individuals are female. Risk reduction interventions for high risk groups are needed to prevent a resurgence of HIV in both core groups and the general population. The UVRI team, in collaboration with MRC/UVRI, is carrying out an enhanced prevention project with sex workers and their male partners in Kampala. The goal is to improve the effectiveness of HIV prevention in Uganda by enhancing comprehensive HIV prevention services amongst FSW and their male partners. This project is funded by the Government of the United States of America through the President’s Emergency Plan For Aids Relief (PEPFAR)

Technical Summary

The HIV epidemic in Uganda disproportionately affects urban dwellers, and overall, 60% of HIV infected individuals are female. Core groups with high rates of sexual partner change, such as female sex workers, play an important role in both the initial establishment of sexually transmitted HIV epidemics and in the later contracting phases, as prevalence declines and HIV transmission again becomes more concentrated in groups at higher risk. Uganda is currently undergoing this later stage epidemic, and risk reduction interventions for high risk groups are needed to prevent a resurgence of HIV in both core groups and the general population. Uganda Virus Research Institute (UVRI) is mandated by Ministry of Health (MoH) to provide a platform and services for HIV treatment, prevention and care. Building on the experience with the first phase of the Good Health for Women Project, the UVRI team, in collaboration with MRC/UVRI is carrying out an enhanced prevention project in partnership with MoH community advisory board representatives. This consortium will provide structured guidance to implement this package of interventions through biomedical & behavioural interventions at the individual and dyadic levels to sex workers and their paying & non-paying partners; and structural interventions delivered at the community and policy levels. The goal is to improve the effectiveness of HIV prevention in Uganda by enhancing comprehensive HIV prevention services amongst FSW and their male partners. The Objectives are: a) To increase reported risk reduction practices by high risk women and their partners in Kampala, b) To increase awareness and understanding of condom use and alcohol abuse c) To increase awareness of HIV risk and vulnerability of high risk women and their male partners, policy makers and stakeholders in Kampala; d) To develop an EPP to include a detailed M&E framework These objectives are responsive to the GHI principle on women, girls and gender equality among others. We propose to scale up this package of services throughout Kampala. Targets are 1000 FSW, 300 men & 10 bar owners. This project is funded by the Government of the United States of America through the President’s Emergency Plan For Aids Relief (PEPFAR).